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Case Study: Breast Asymmetry

Challenging Breast Anomalies and Asymmetry – Case 1

This case represents some of the most challenging issues we face with severe asymmetry. This patient had tuberous, constricted breast malformation with severe asymmetry.

Her surgery included reduction of the larger breast, release of severe constriction on the smaller breast, and bilateral implant augmentation. The results are amazing!

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Challenging Breast Anomalies and Asymmetry – Case 2

Tuberous constricted breast Hyperplasia can be a challenging condition. It requires the release of constricted tissue, augmentation, and simultaneous periareolar mastopexy to reduce the remaining constriction around the areola. This is an example of a fine outcome.

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Challenging Breast Anomalies and Asymmetry – Case 3

Small sagging breasts are treated differently when combined with constriction  anomalies. A constriction is when the footprint of the breast is much narrower than it should be for the torso it sits upon. Internal releases and reconfiguring of the breast space internally for implants and on the surface for lifting are hallmarks of treatment. This is a good example if a successful outcome.

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Challenging Breast Anomalies and Asymmetry – Case 4

This is a great example of a fairly common problem. Uneven small breasts with sagging of one side requires (in this case) a breast lift (periareolar mastopexy) on her left and bilateral silicone implants under the muscle. A beautiful outcome!

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Challenging Breast Anomalies and Asymmetry – Case 5

This patient  presented with the challenges of asymmetry of nipple location, volume (size) difference, and asymmetry of shape (no defined breast fold on her right).

I used slightly different sized silicone gel implants placed under the muscle and I recreated a new internal shape space with new a breast fold. I choose smooth, round gel implants to aesthetically balance between round and natural. An amazing result.

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Challenging Breast Anomalies and Asymmetry – Case 6

Tuberous, constricted, breast malformation with hypoplasia is one of the most challenging situations in cosmetic breast surgery.

I combine an inframammary  approach to create implant space and correct the deepest part of constriction anomaly and place the implants, with circum-areola mastopexy to lift the breast and eliminate the tuberous malformation. Here is a great result with silicone gel implants.

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Challenging Breast Anomalies and Asymmetry – Case 7

This shows a common problem women face. Extremely wide positioned breasts with extreme lateral nipple position. This is a very challenging aesthetic issue. Handled incorrectly would lead to enhancement of the problem. I internally performed a “differential” tissue release which allows the surface breast and nipple to rotate back to a nicer aesthetic position. A really great result!

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Challenging Breast Anomalies and Asymmetry – Case 8

This woman presented with significant breast asymmetry and modest constricted wide set breasts. I corrected these problems and created a beautiful and symmetric C cup breast.

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Challenging Breast Anomalies and Asymmetry – Case 9

Asymmetry of shape, size, and nipple position presented initial challenges here. Correction was achieved by differential implant augmentation and unilateral mastopexy. An amazing result.

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Challenging Breast Anomalies and Asymmetry – Case 10

Constricted breast malformation (when the nipple is unusually close or tight to the inframammary fold) requires extra creativity in correction.

Here is an example of transformation from poor aesthetic AA cup to a very attractive full B cup!

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